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DR. THEODORE ERIC MACNOW MD
NPI 1760626832
Pediatrics - Pediatric Emergency Medicine in Worcester, MA

Active since April 20, 2009PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE N, EMERGENCY MEDICINE DEPARTMENT, WORCESTER, MA 01655(774) 442-2599(774) 442-2510 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 9, 2020, Apr 18, 2017 (2 updates tracked since 2017).

About Dr. Theodore Eric Macnow Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORE ERIC MACNOW MD (NPI 1760626832) is an individual pediatric emergency medicine provider in Worcester, Massachusetts, licensed in Massachusetts (254522) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2009).

NPPES Registry Identity

NPI1760626832
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. THEODORE ERIC MACNOWCredential: MD
Location Address55 LAKE AVE N, EMERGENCY MEDICINE DEPARTMENTWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(774) 442-2599
Fax(774) 442-2510
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2009
Enumeration DateApril 20, 2009
Last NPPES UpdateNovember 9, 20202 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
✔ NPI 1760626832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MA · 254522
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 254522 (MA)
55 LAKE AVE N, Worcester, MA 01655
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theodore Eric Macnow Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628389954
PECOS Enrollment IDI20150612001239
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
YOONYIE CHO M.D.
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Macnow's NPI number?

The NPI number for Theodore Macnow is 1760626832. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Where is Theodore Macnow located?

Theodore Macnow practices at 55 Lake Ave N Emergency Medicine Department, Worcester, MA 01655. The listed phone number is (774) 442-2599.

What is Theodore Macnow's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Theodore Macnow enrolled in Medicare?

Yes. Theodore Macnow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Theodore Macnow was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.